The association between sleep duration and obesity in older adults
Open accessAbstract
Background Reduced sleep has been reported to predict obesity in children and young adults. However, studies based on self-report have been unable to identify an association in older populations. In this study, the cross-sectional associations between sleep duration measured objectively and measures of weight and body composition were assessed in two cohorts of older adults.Methods Wrist actigraphy was performed for a mean (s.d.) of 5.2 (0.9) nights in 3055 men (age: 67-96 years) participating in the Osteoporotic Fractures in Men Study (MrOS) and 4.1 (0.8) nights in 3052 women (age: 70-99 years) participating in the Study of Osteoporotic Fractures (SOF). A subgroup of 2862 men and 455 women also underwent polysomnography to measure sleep apnea severity.Results Compared to those sleeping an average of 7-8 h per night, and after adjusting for multiple risk factors and medical conditions, a sleep duration of less than 5 h was associated with a body mass index (BMI) that was on average 2.5 kg/m(2) (95% confidence interval (CI): 2.0-2.9) greater in men and 1.8 kg/m(2) (95% CI: 1.1-2.4) greater in women. The odds of obesity (BMI >or= 30 kg/m(2)) was 3.7-fold greater (95% CI: 2.7-5.0) in men and 2.3-fold greater in women (95% CI: 1.6-3.1) who slept less than 5 h. Short sleep was also associated with central body fat distribution and increased percent body fat. These associations persisted after adjusting for sleep apnea, insomnia and daytime sleepiness.Conclusions In older men and women, actigraphy-ascertained reduced sleep durations are strongly associated with greater adiposity.
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Four studies using objective measurements found a much stronger cross-sectional association than similar studies using self-reported data.
“In support of this hypothesis, four studies that performed objective measurements reported a much stronger cross-sectional association than other studies of similar cross-sectional design but using self-reported data [63, 125, 182, 190].”
From Sleep and metabolic function (2012) · cites this paper as [125]
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Self-citation
- Authors
- Groups, F. T. O. F. I. M. A. T. S. O. O. F. R., Patel, S. R., Blackwell, T., Redline, S., Ancoli-Israel, S., Cauley, J. A., Hillier, T. A., Lewis, C. E., Orwoll, E. S., Stefanick, M. L., Taylor, B. C., Yaffe, K., & Stone, K. L.
- Affiliations
- University Hospitals Cleveland Medical Center (US)
- California Pacific Medical Center (US)
- University of Pittsburgh (US)
- Kaiser Permanente (US)
- University of Alabama at Birmingham (US)
- Oregon Health & Science University (US)
- University of Minnesota (US)
- University of California, San Francisco (US)
- Corresponding author
- Patel, S R
- ORCID
- Venue
- International Journal of Obesity
- Published
- 2008-10-21
- Volume
- 32
- Issue
- 12
- Pages
- 1825-1834
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- PMC
- PMC2605208
- OpenAlex
- W2140806941
- Cited by
- 284
- References
- 51
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 14 · 2023: 12 · 2022: 11 · 2021: 11 · 2020: 14 · 2019: 15 · 2018: 14 · 2017: 14 · 2016: 18 · 2015: 29 · 2014: 14 · 2013: 34 · 2012: 21
- FWCI
- 23.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG005394, AG005407, AG026720, AG027576, AG005394, U01AG018197, R01AG005407, U01AG027810, R01AG027576, AG018197, AG027574, AG027810, R01AG026720, R01AG027574)
- National Heart, Lung, and Blood Institute (HL 081385, HL070841, R01HL070847, R01HL070839, HL070842, HL070838, HL070847, K08HL081385, HL070837, R01HL070838, HL071194, R01HL070841, R01HL070848, R01HL071194, R01HL070837, HL070848, R01HL070842, HL070839)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR035583, U01AR045583, R01AR035584, AR045647, AR035582, AR045654, AR045614, U01AR045580, U01AR045632, U01AR045654, R01AR035582, U01AR045614, U01AR045647, U01AR066160, R01AR035583, AR045580, AR035584, AR045632, AR045583)
- National Center for Research Resources (UL1RR024140, RR024140)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, obesity, older adults, body mass index, body composition, abdominal obesity, sleep apnea, actigraphy, polysomnography, sex differences, adiposity
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Body Weight, Cross-Sectional Studies, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Obesity, Risk Factors, Sleep, Sleep Apnea Syndromes, Time Factors, United States, Cohort Studies, Body Mass Index, Polysomnography, Adiposity, Waist Circumference
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